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„rr.l,. 'i�iiiF ,:)6:,1�1 2��h�i. �I:_?rit SSn�i�: &�'�uCelia, IJo•6"116 P. 1 <br />This is the cached copy ot httn://w�.w✓.evere+:�wa.oral et PDF.aspx7pdfID=35, <br />Page 1 <br />ELECTRICAL PERI�VIIT APPLICATION <br />CITY OF EVERETT PERIVIIT SERVICES <br />3200 CEDAR S'iRLET, EVERETT, WA 98201 <br />425•257•8810 - FAX 425-257-8857 www,averettwa.org <br />APPLICATTONS ARE ,1CCEPTED FROM 8 A.bI TO 4 YM <br />PROJECTA1oDREsS $sj25 XqJ��n 1,J�.y <br />0�`na Andr¢f SCreshrRh <br />na�.,� ��z5 xa,ng, Wty <br />5�'«,.i,.p Gvercw, w•A 9 kz�'K <br />P�°°° hzs• 349 �53FL <br />Trnacc <br />Aidl <br />i4id�en <br />Ciry <br />SuWZip <br />P6oce sv�p126j ��c.. <br />ElectricdCoatractar �ol,y�a 4ltcvriv 5����<<r <br />M"� zz�a Nw M.+Kct Sr, <br />nad�sn *'I <br />s:�z;, sr.�w�� wR 98ior <br />P�� zo�-7�1-65co <br />StateLiceaseNumber 9ua+e�s�zqdti <br />Contract Price of Work ,� 2 200°� <br />Proposed � <br />L'” 5FR <br />or <br />Building <br />Ccatect ��� �� <br />Persan <br />(Pl�n <br />Review) <br />Dacripdon of Work to Be Dane: N�"� Z o0 AM P 6gtv;� � <br />IrOTE: WIRI�IG IN A'ON-DWELLINGS I` REQUIR£D .TO <br />BE L�i RACbWAYS, MC OR AC CABLE. <br />CITY OF EVF.RE1`f LOCAL SA,LES TaX CODE IS 3105 <br />I hereby cert� rhnr 1 hatik reed axd ezamtnad thls appflr.ation and know rha same to bt tnre and <br />correcl. All prov:,fant ojlawt and ordlnanctt goverr,ing thit rypr oJwork wilJ be camplered <br />wherhrr rpecifred he�rin or no4 ?he grsnting ajapuinly does nat prerume ro g(ti�e author(ry ro <br />vlolate or cancel the prov7ifonx ojany other atate or Jocat !aw ngularing consrruction or the <br />pojarmaxce oJconf�rucrion. 77urf I a�7 aurhorized by t•5e owner oJthft proparry to prrform !hr <br />Nork,`or whlch appllcallon If made anJ! comply wlrh the Srarc Connccrws Law 18.17 RCW ond <br />796.200 if'AC <br />SiSnan:re � �7 1 �', , 1 — <br />D6f! •••"••"" l � wvv �� <br />FEE �(-��1 "au(� <br />